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Year 3 OSCE'S > The Cardiovascular Osce > Flashcards

Flashcards in The Cardiovascular Osce Deck (17)
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1
Q

What can the cardiovascular osce be divided into?

A

3 sections: pre-chest, chest and post-chest

2
Q

List each step required in the pre-chest part of the cardiovascular OSCE

A
positioning and exposure
overall examination
peripheral examination
arterial pulses
blood pressure
JVP
3
Q

List each step required in the chest part of the cardiovascular OSCE

A

Inspection
Precordial Palpation
Ausultation

4
Q

List each step required in the post-chest part of the cardiovascular OSCE

A

Auscultate carotid arteries
Auscultate back
Inspect for pitting oedema

5
Q

What is involved in 2) positioning and exposure?

A

Lie the patient at 45 degrees;

Ask patient to expose chest while maintaining dignity

6
Q

What is involved in 3) an overall inspection?

A

Inspect patient overall,

Comment on build, posture, demeanour, any abnormality

7
Q

What is involved in 4) Peripheral Examination

A
Examine Hands (nails/palms);
Examine Eyes (conjunctivae/ cornea)
Examine Mouth ( lips, tongue, teeth, mucous membrane) AND inspect palate for signs of Marfans
8
Q

What is involved in 5) Arterial Pulses

A

Accurately assess radial rate, rhythm and symmetry.
Assess a larger pulse for character and volume.
Locate major pulses in both arms and legs
AND comment on varicose veins or previous surgery

9
Q

What is involved in 6) Blood pressure

A

Undertake manual or electronic blood pressure measurement

10
Q

What is involved in 7) chest inspection

A

Inspect chest,

Comment on symmetry and shape, scars, skin lesions, visible pulsations etc.

11
Q

What is involved in 8) chest inspection

A

Inspect chest,

Comment on symmetry and shape, scars, skin lesions, visible pulsations etc.

12
Q

What is involved in 7) JVP (Jugular Venous Pulse)

A

Identify JVP,

assess internal jugular venous pulse pressure

13
Q

What is involved in 9) Precordial Palpation

A

Palpate precordium for the apex beat (and accurately locate the apex beat);
Palpate the right ventricular impulse for thrills
Palpate for heaves

14
Q

What is involved in 10) Auscultation

A

Auscultate for heart sound in four valvular areas;
(includes) Auscultation of apex in left lateral position on expiration with bell;
Left sternal edge sitting forward on expiration, with diaphragm.
AND palpate the neck pulse whilst auscultating in order to identify the timing of any abnormality

15
Q

What is involved in 11) Auscultation of carotid arteries

A

Auscultate for bruits over carotid arteries during breath hold

16
Q

What is involved in 12) Auscultate Back

A

Auscultate for basal crepitations and/ or pleural effusions

17
Q

What is involved in 13) Inspect for pitting oedema

A

Apply pressure over the anterior tibial border for 10 seconds.